{"id":11385597,"date":"2019-08-25T00:00:00","date_gmt":"2019-08-24T22:00:00","guid":{"rendered":"https:\/\/alertdiver.eu\/uncategorized-cs_cz\/zaznam-pripadu-barotraumatu-vnitrniho-ucha\/"},"modified":"2019-08-25T00:00:00","modified_gmt":"2019-08-24T22:00:00","slug":"zaznam-pripadu-barotraumatu-vnitrniho-ucha","status":"publish","type":"post","link":"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/zaznam-pripadu-barotraumatu-vnitrniho-ucha\/","title":{"rendered":"Z\u00e1znam p\u0159\u00edpadu barotraumatu vnit\u0159n\u00edho ucha"},"content":{"rendered":"<p style=\"text-align: justify;\"><strong>31. srpna<\/strong><\/p>\n<p style=\"text-align: justify;\">Kone\u010dn\u011b nastal \u010das odjezdu! \u010cekaj&iacute; mne dva dny pot&aacute;p\u011bn&iacute; se st\u0159ediskem <em>Diving Indie<\/em> v chorvatsk&eacute; Premantu\u0159e. Na&scaron;e skupina se skl&aacute;d&aacute; ze t\u0159&iacute; pot&aacute;p\u011b\u010d\u016f na otev\u0159en&eacute; vod\u011b vy&scaron;kolen&yacute;ch v kursu &bdquo;Open Water Diving&ldquo; &nbsp;(jeden z nich m&aacute; za sebou v&iacute;ce ne\u017e 200 ponor\u016f) a ze t\u0159&iacute; pokro\u010dil&yacute;ch pot&aacute;p\u011b\u010d\u016f na otev\u0159en&eacute; vod\u011b vy&scaron;kolen&yacute;ch v kursu &bdquo;Advanced Open Water Diving&ldquo; (mne, m&eacute;ho man\u017eela a jednoho pot&aacute;p\u011b\u010dsk&eacute;ho experta). Spole\u010dn\u011b s pot&aacute;p\u011b\u010dsk&yacute;m st\u0159ediskem jsme napl&aacute;novali pom\u011brn\u011b jednoduch&eacute; a bezpe\u010dn&eacute; ponory (pro n&aacute;s, pokro\u010dil&eacute; pot&aacute;p\u011b\u010de, do maxim&aacute;ln&iacute; hloubky 30 metr\u016f).<\/p>\n<p style=\"text-align: justify;\">Spole\u010dn\u011b s ostatn&iacute;mi pot&aacute;p\u011b\u010di a pr\u016fvodci vyr&aacute;\u017e&iacute;me lod&iacute; do m&iacute;sta pot&aacute;p\u011bn&iacute; v Bumbi&scaron;te.&nbsp;<\/p>\n<p style=\"text-align: justify;\">Je slune\u010dno a m&iacute;rn&aacute; teplota p\u0159&iacute;mo l&aacute;k&aacute; k p\u0159&iacute;jemn&eacute;mu pot&aacute;p\u011bn&iacute;. &nbsp;Na smluven&yacute; sign&aacute;l jdu pod vodu spole\u010dn\u011b se sv&yacute;mi kolegy. Haubna mi je pon\u011bkud t\u011bsn&aacute;, tak ji trochu roztahuji a vpou&scaron;t&iacute;m dovnit\u0159 n\u011bco vody. Zn&aacute;m se dob\u0159e, m&aacute;m za sebou v&iacute;ce ne\u017e &scaron;edes&aacute;t ponor\u016f, proto v&iacute;m, \u017ee mus&iacute;m za\u010d&iacute;t s vyrovn&aacute;v&aacute;n&iacute;m tlaku prakticky okam\u017eit\u011b, b\u011bhem n\u011bkolika metr\u016f, nebo\u0165 m&eacute; prav&eacute; ucho trochu &bdquo;zlob&iacute;&ldquo;. Ostatn&iacute; pot&aacute;p\u011b\u010di sestupuj&iacute; bez probl&eacute;m\u016f, j&aacute; se v&scaron;ak nikam ne\u017eenu. Pro mne plat&iacute; &ndash; pomalu a s rozvahou. Man\u017eel sv\u016fj sestup zpomaluje a \u010dek&aacute; na m\u016fj sign&aacute;l OK. Po\u0159&aacute;d m&aacute;m s vyrovn&aacute;v&aacute;n&iacute;m men&scaron;&iacute; pot&iacute;\u017ee, a\u017e se mi kone\u010dn\u011b zd&aacute;, \u017ee je v&scaron;e v po\u0159&aacute;dku. Nic mne nebol&iacute; a jsem zcela klidn&aacute;&#8230; v\u017edy\u0165 se tak&eacute; \u0159&iacute;k&aacute;, \u017ee velk&yacute; probl&eacute;m se ohla&scaron;uje velkou bolest&iacute;. P\u0159esto jsem trochu nesv&aacute;.<\/p>\n<p style=\"text-align: justify;\">Vyno\u0159&iacute;m se na hladinu, prav&eacute; ucho m&aacute;m pln&eacute; vody a sly&scaron;&iacute;m na n\u011b jen tlumen\u011b a jaksi &bdquo;z d&aacute;lky&ldquo;. Krv&aacute;c&iacute;m z nosu, ale ne moc a jen kr&aacute;tkou chv&iacute;li, prakticky ne\u017e se dostanu do lodi. &bdquo;B\u011bhem odpoledne to p\u0159ejde&ldquo;, \u0159&iacute;k&aacute;m si, &bdquo;nejpozd\u011bji za n\u011bkolik dn\u016f.&ldquo; Na palub\u011b se mi trochu to\u010d&iacute; hlava, ale pom\u011brn\u011b rychle to p\u0159ejde.<\/p>\n<p style=\"text-align: justify;\">OdpoIedne po n\u011bkolika hodin&aacute;ch na b\u0159ehu se vyd&aacute;v&aacute;me do Jarbolu na dal&scaron;&iacute; pot&aacute;p\u011bn&iacute;. B\u011bhem ponoru i po n\u011bm se mi bohu\u017eel opakuj&iacute; v&scaron;echny p\u0159&iacute;znaky z dopoledne, jen o n\u011bco siln\u011bji, dostavuj&iacute; se skute\u010dn&eacute; z&aacute;vrat\u011b a tak&eacute; siln\u011bji krv&aacute;c&iacute;m z nosu.<\/p>\n<p style=\"text-align: justify;\">Pocit vody v prav&eacute;m uchu je te\u010f tak siln&yacute;, \u017ee na n\u011b v\u016fbec nesly&scaron;&iacute;m. Na druhou stranu jsem ale st&aacute;le p\u0159esv\u011bd\u010dena, \u017ee to nem\u016f\u017ee b&yacute;t nic v&aacute;\u017en&eacute;ho, kdy\u017e mne nic nebol&iacute;&#8230; nebo snad p\u0159ece?<\/p>\n<p style=\"text-align: justify;\"><strong>1. z&aacute;\u0159&iacute;<\/strong><\/p>\n<p style=\"text-align: justify;\">Na dne&scaron;n&iacute; den jsme napl&aacute;novali nejzaj&iacute;mav\u011bj&scaron;&iacute; ponor: do podmo\u0159sk&yacute;ch jeskyn&iacute; nedaleko pot&aacute;p\u011b\u010dsk&eacute;ho st\u0159ediska. Pot&aacute;p&iacute;m se s v\u011bdom&iacute;m, \u017ee kdy\u017e se mi sluch je&scaron;t\u011b nevr&aacute;til do norm&aacute;lu, mus&iacute;m tlak vyrovn&aacute;vat l&eacute;pe a rychleji ne\u017e v\u010dera. Tak&eacute; to tak \u010din&iacute;m (alespo\u0148 jsem o tom p\u0159esv\u011bd\u010dena). Pouze v jednom okam\u017eiku mus&iacute;m v jeskyni tlak znovu vyrovnat a op\u011bt se c&iacute;t&iacute;m trochu v nepohod\u011b, ale jakmile vystoup&aacute;m k hladin\u011b, v&scaron;e se zlep&scaron;&iacute;. Z vody se dostanu bez probl&eacute;m\u016f a ani ve snu by m\u011b nenapadlo, \u017ee jsem mohla utrp\u011bt n\u011bjakou fyzickou &uacute;jmu.<\/p>\n<p style=\"text-align: justify;\"><strong>2. z&aacute;\u0159&iacute;<\/strong><\/p>\n<p style=\"text-align: justify;\">Je pond\u011bl&iacute; a jsme zp&aacute;tky z v&iacute;kendu, ale m&eacute; zhor&scaron;en&eacute; sly&scaron;en&iacute; se nijak nezlep&scaron;uje. To u\u017e man\u017eel navrhuje, abychom zavolali do DAN a poradili se, sp&iacute;&scaron;e pro jistotu a abychom m\u011bli klid. Spojovatelka n&aacute;s s obvyklou ochotou rychle p\u0159epoj&iacute; na zdravotn&iacute; divizi DAN, odkud je mi d\u016frazn\u011b doporu\u010deno, abych co nejrychleji vyhledala nejbli\u017e&scaron;&iacute; zdravotn&iacute; za\u0159&iacute;zen&iacute; s odd\u011blen&iacute;m ORL.<\/p>\n<p style=\"text-align: justify;\"><strong>4. z&aacute;\u0159&iacute;<\/strong><\/p>\n<p style=\"text-align: justify;\">Na doporu\u010den&iacute; DAN jedu do zdravotn&iacute;ho st\u0159ediska v Terstu. Po r\u016fzn&yacute;ch vy&scaron;et\u0159en&iacute;ch v\u010detn\u011b audiometrick&eacute;ho a tympanometrick&eacute;ho zn&iacute; z&aacute;v\u011br tak, \u017ee jsem p\u0159i pot&aacute;p\u011bn&iacute; utrp\u011bla v&yacute;raznou ztr&aacute;tu sluchu prav&eacute;ho ucha. V&yacute;sledek vy&scaron;et\u0159en&iacute; mne samoz\u0159ejm\u011b znepokojil, ale je&scaron;t\u011b v\u011bt&scaron;&iacute; starost mi zp\u016fsobila skute\u010dnost, \u017ee se mi nikdo neodv&aacute;\u017eil p\u0159edpov\u011bd\u011bt &uacute;pln&yacute; n&aacute;vrat sluchu do norm&aacute;ln&iacute;ho stavu. L&eacute;ka\u0159i se radili navz&aacute;jem a nakonec mi sd\u011blili, \u017ee m&aacute;m znovu p\u0159ij&iacute;t z&iacute;tra, kdy mi bude stanovena a sd\u011blena ofici&aacute;ln&iacute; diagn&oacute;za. Doporu\u010dili mi co nejv&iacute;ce le\u017eet na jedn&eacute; stran\u011b, aby se zabr&aacute;nilo protr\u017een&iacute; jemn&yacute;ch sou\u010d&aacute;st&iacute; vnit\u0159n&iacute;ho ucha, t. j. ov&aacute;ln&eacute;ho ok&eacute;nka a hlem&yacute;\u017ed\u011b.<\/p>\n<p style=\"text-align: justify;\"><strong>5. z&aacute;\u0159&iacute;<\/strong><\/p>\n<p style=\"text-align: justify;\">Dal&scaron;&iacute; audiometrick&eacute; a tympanometrick&eacute; vy&scaron;et\u0159en&iacute;, dal&scaron;&iacute; l&eacute;ka\u0159sk&eacute; konzultace a kone\u010dn\u011b verdikt: barotrauma zp\u016fsoben&eacute; po&scaron;kozen&iacute;m vnit\u0159n&iacute;ho ucha p\u0159i pot&aacute;p\u011bn&iacute;, z&aacute;va\u017en&aacute; ztr&aacute;ta sluchu. Mo\u017enost vyl&eacute;\u010den&iacute;: nen&iacute; jist&aacute;. Na prav&eacute; ucho nesly&scaron;&iacute;m v\u016fbec nic, nap\u0159. ani zvon\u011bn&iacute; telefonu, i kdy\u017e ho m&aacute;m t\u011bsn\u011b u ucha. P\u0159edepsali mi kortikosteroidy a odeslali mne do hyperbarick&eacute;ho zdravotn&iacute;ho st\u0159ediska pro pot&aacute;p\u011b\u010de.<\/p>\n<p style=\"text-align: justify;\">Jsem z toho zoufal&aacute; a nemohu tomu uv\u011b\u0159it, ale jakmile se ocitnu ve zdravotn&iacute;m pot&aacute;p\u011b\u010dsk&eacute;m st\u0159edisku, tak se mi trochu n&aacute;lada trochu zlep&scaron;&iacute;: v&scaron;ude na zdech podmo\u0159sk&eacute; fotografie ryb, d\u011bkovn&eacute; dopisy od pot&aacute;p\u011b\u010dsk&yacute;ch klub\u016f, pot&aacute;p\u011b\u010dsk&eacute; mapy, znaky r\u016fzn&yacute;ch pot&aacute;p\u011b\u010dsk&yacute;ch organizac&iacute; a st\u0159edisek atd. Dr. Rinaldi, specialista na pot&aacute;p\u011b\u010dskou medic&iacute;nu, je stejn\u011b &uacute;\u017easn&yacute; jako cel&yacute; zdej&scaron;&iacute; person&aacute;l &hellip; a dokonce tady maj&iacute; i velk&yacute; znak DAN! C&iacute;t&iacute;m se jako doma. Do hyperbarick&eacute; l&eacute;\u010dby nastupuji s novou nad\u011bj&iacute;.<\/p>\n<p style=\"text-align: justify;\">Ve&scaron;kerou zdravotn&iacute; dokumentaci ke sv&eacute;mu p\u0159&iacute;padu zas&iacute;l&aacute;m do DAN, odkud se mi prakticky obratem dostane uji&scaron;t\u011bn&iacute; o naprost&eacute; spr&aacute;vnosti ve&scaron;ker&eacute;ho postupu v nemocnici v Terstu. V m&eacute; sou\u010dasn&eacute; situaci je ka\u017ed&aacute; takov&aacute; zpr&aacute;va velmi d\u016fle\u017eit&aacute;, je dob\u0159e v\u011bd\u011bt, \u017ee specialist&eacute; z DAN nenechali m\u016fj p\u0159&iacute;pad a jeho \u0159e&scaron;en&iacute; bez pov&scaron;imnut&iacute;.<\/p>\n<p style=\"text-align: justify;\">Od t&eacute;to chv&iacute;le za\u010d&iacute;n&aacute;m doufat, \u017ee snad v&scaron;e m\u016f\u017ee dopadnout i dob\u0159e. Po t\u0159ech dnech hyperbarick&eacute; a dal&scaron;&iacute; zdravotn&iacute; terapie za\u010d&iacute;n&aacute;m op\u011bt slab\u011b sly&scaron;et zvuk vyzv&aacute;n\u011bn&iacute; telefonu u zran\u011bn&eacute;ho ucha, sice vzd&aacute;len\u011b a pouze p\u0159i absolutn&iacute;m tichu okolo, ale p\u0159ece jen. &nbsp;A po absolvov&aacute;n&iacute; cel&eacute;ho cyklu hyperbarick&eacute; l&eacute;\u010dby (8 nasazen&iacute;) ten zvuk zna\u010dn\u011b zes&iacute;l&iacute; a je z\u0159eteln\u011bj&scaron;&iacute; &hellip; dokonce ji\u017e rozezn&aacute;v&aacute;m n\u011bjak&aacute; slova! M&aacute;m z toho takovou radost, \u017ee snad dostanu znovu z&aacute;vra\u0165&#8230; znamen&aacute; to, \u017ee se l&eacute;\u010dba da\u0159&iacute; a mo\u017en&aacute; tedy nebudu na jedno ucho &uacute;pln\u011b hluch&aacute;. Nikdy v \u017eivot\u011b jsem nesly&scaron;ela zvon\u011bn&iacute; telefonu rad\u011bji.<\/p>\n<p style=\"text-align: justify;\">P\u0159esto v&scaron;ak s velk&yacute;m znepokojen&iacute;m podstupuji dal&scaron;&iacute; audiometrick&eacute; vy&scaron;et\u0159en&iacute; &ndash; od posledn&iacute;ho audiometrick&eacute;ho vy&scaron;et\u0159en&iacute; se mi vr&aacute;tilo 335 decibel\u016f ze &nbsp;460 ztracen&yacute;ch. Kdy\u017e jsou v&yacute;sledky kladn&eacute;, v&scaron;echno se zd&aacute; b&yacute;t jednodu&scaron;&scaron;&iacute; a reaguje na to cel&eacute; t\u011blo. Do druh&eacute; f&aacute;ze hyperbarick&eacute; terapie nastupuji s ohromnou nad\u011bj&iacute; &hellip; snad budu zase sly&scaron;et, jako p\u0159ed zran\u011bn&iacute;m.<\/p>\n<p style=\"text-align: justify;\">\u010c&iacute;m d&eacute;le se l&eacute;\u010d&iacute;m, t&iacute;m v\u011bt&scaron;&iacute; je &uacute;leva, \u017ee se m\u016fj stav neust&aacute;le zlep&scaron;uje. Hu\u010den&iacute; v uchu sl&aacute;bne a zvuky jsou st&aacute;le jasn\u011bj&scaron;&iacute;, z\u0159eteln\u011bj&scaron;&iacute; i srozumiteln\u011bj&scaron;&iacute;.<\/p>\n<p style=\"text-align: justify;\"><strong>4. \u0159&iacute;jna<\/strong><\/p>\n<p style=\"text-align: justify;\">Od diagn&oacute;zy v&aacute;\u017en&eacute;ho posti\u017een&iacute; sluchu uplynul m\u011bs&iacute;c. Po &scaron;estn&aacute;cti sezen&iacute;ch v hyperbarick&eacute; komo\u0159e jsem si po zji&scaron;t\u011bn&iacute; v&yacute;sledku audiometrick&eacute;ho vy&scaron;et\u0159en&iacute; skute\u010dn\u011b oddechla: ze 460 ztracen&yacute;ch decibel\u016f se mi vr&aacute;tilo 435. Pova\u017euji se za pot&aacute;p\u011b\u010de, tedy sp&iacute;&scaron;e za b&yacute;val&eacute;ho pot&aacute;p\u011b\u010de, kter&yacute; m\u011bl obrovsk&eacute; &scaron;t\u011bst&iacute;. Sice mi v prav&eacute;m uchu st&aacute;le je&scaron;t\u011b slab\u011b hu\u010d&iacute;, ale pevn\u011b v\u011b\u0159&iacute;m, \u017ee to jednoho dne &uacute;pln\u011b p\u0159estane.<\/p>\n<p style=\"text-align: justify;\">Nelze to v&scaron;ak pova\u017eovat za pouh&eacute; &scaron;t\u011bst&iacute;, &scaron;t\u011bst&iacute; sice pom&aacute;h&aacute;, ale samo by nesta\u010dilo. Od prvn&iacute;ho ponoru jsem byla u DAN zdravotn\u011b poji&scaron;t\u011bna, nebo\u0165 jsem si v\u017edy uv\u011bdomovala, \u017ee i kdy\u017e si ka\u017ed&yacute; ponor napl&aacute;nuji a\u017e do nejmen&scaron;&iacute;ch podrobnost&iacute;, v\u017edy existuje ur\u010dit&eacute; riziko, kv\u016fli kter&eacute;mu je nutn&eacute; m&iacute;t zaji&scaron;t\u011bnu rychlou a odbornou zdravotn&iacute; pomoc od organizace DAN. V\u011bt&scaron;ina pot&aacute;p\u011b\u010d\u016f takovou pomoc mo\u017en&aacute; nebude nikdy pot\u0159ebovat (co\u017e jim tak&eacute; p\u0159eji), ale ti, kte\u0159&iacute; se ocitnou v nouzov&eacute; situaci, by m\u011bli m&iacute;t mo\u017enost spolehnout se na skute\u010dn&eacute; odborn&iacute;ky z oblasti pot&aacute;p\u011bn&iacute;. V m&eacute;m p\u0159&iacute;pad\u011b sehr&aacute;li zdravotn&iacute;ci z DAN rozhoduj&iacute;c&iacute; roli, proto\u017ee mi nal&eacute;hav\u011b doporu\u010dili okam\u017eitou n&aacute;v&scaron;t\u011bvu odd\u011blen&iacute; ORL a pot&eacute; potvrdili spr&aacute;vnost nasazen&eacute; l&eacute;\u010dby podle nejnov\u011bj&scaron;&iacute;ch poznatk\u016f.<\/p>\n<p style=\"text-align: justify;\">Pro\u010d jsem napsala tento podrobn&yacute; z&aacute;znam sv&eacute;ho zran\u011bn&iacute;? Abych se pod\u011blila se v&scaron;emi p\u0159&aacute;teli pot&aacute;p\u011b\u010di o probl&eacute;m, kter&eacute;mu jsem musela \u010delit. U&scaron;n&iacute; barotrauma, obzvl&aacute;&scaron;t\u011b v p\u0159&iacute;pad\u011b vnit\u0159n&iacute;ho ucha, je nebezpe\u010d&iacute;, kter&eacute;mu se v\u011bnuje pom\u011brn\u011b mal&aacute; pozornost. Ve v&scaron;ech kurzech a &scaron;kolen&iacute;ch se v\u017edy hodn\u011b hovo\u0159ilo o dekompresn&iacute;m onemocn\u011bn&iacute;, dus&iacute;kov&eacute; nark&oacute;ze, protr\u017een&iacute; u&scaron;n&iacute;ho bub&iacute;nku z d\u016fvodu nedostate\u010dn&eacute;ho vyrovn&aacute;v&aacute;n&iacute; tlaku, latentn&iacute;ch mikrobublink&aacute;ch a dokonce i o kysl&iacute;kov&eacute; toxicit\u011b ve velk&yacute;ch hloubk&aacute;ch, ale nikdy se nemluvilo o mo\u017en&eacute;m barotraumatu, kter&eacute; m\u016f\u017ee nastat (bez jak&eacute;hokoliv n&aacute;znaku dekompresn&iacute;ho onemocn\u011bn&iacute;) i p\u0159i zcela norm&aacute;ln&iacute;m (nen&aacute;siln&eacute;m) vyrovn&aacute;v&aacute;n&iacute; tlaku nebo v p\u0159&iacute;pad\u011b pou\u017eit&iacute; p\u0159&iacute;li&scaron; t\u011bsn&eacute; haubny. Douf&aacute;m, \u017ee m&aacute; zku&scaron;enost pom\u016f\u017ee p\u0159edej&iacute;t podobn&eacute;mu nen&aacute;padn&eacute;mu a &bdquo;tich&eacute;mu&ldquo; zran\u011bn&iacute;, kter&eacute; je nep\u0159&iacute;jemn&eacute; a hlavn\u011b nebezpe\u010dn&eacute;. &nbsp;<\/p>\n<p style=\"text-align: justify;\"><strong><em><br \/><\/em><\/strong><\/p>\n<p><strong><em>Koment&aacute;\u0159 odborn&iacute;ka&nbsp;<\/em><\/strong><\/p>\n<p>Jedn&aacute; se o jasn&yacute; p\u0159&iacute;pad barotraumatu vnit\u0159n&iacute;ho ucha, pravd\u011bpodobn\u011b zp\u016fsoben&eacute;ho zran\u011bn&iacute;m vnit\u0159n&iacute;ho ucha, z\u0159ejm\u011b ov&aacute;ln&eacute;ho ok&eacute;nka nebo p\u0159&iacute;mo hlem&yacute;\u017ed\u011b. Je t\u0159eba upozornit na zm&iacute;nku pan&iacute; Bolzan o jej&iacute;ch \u010dast&yacute;ch probl&eacute;mech s vyrovn&aacute;v&aacute;n&iacute;m tlaku, jako\u017e i zm&iacute;nit jej&iacute; nespr&aacute;vn&eacute; p\u0159esv\u011bd\u010den&iacute;, \u017ee skute\u010dn&yacute; probl&eacute;m mus&iacute; b&yacute;t v\u017edy prov&aacute;zen bolest&iacute;. &quot;Velk&yacute; probl&eacute;m se ohla&scaron;uje velkou bolest&iacute;, nen&iacute;-li n\u011bco bolestiv&eacute;, nejedn&aacute; se o v&aacute;\u017en&yacute; probl&eacute;m!&quot; To v&scaron;ak nen&iacute; pravda. Ji\u017e samotn&eacute; pot&iacute;\u017ee s vyrovn&aacute;v&aacute;n&iacute;m tlaku mohou zp\u016fsobit nerovnov&aacute;hu mezi st\u0159edn&iacute;m a vnit\u0159n&iacute;m uchem, a to &ndash; i bez n\u011bjak&eacute; v\u011bt&scaron;&iacute; bolesti &ndash; m\u016f\u017ee zap\u0159&iacute;\u010dinit po&scaron;kozen&iacute;. Jednozna\u010dn\u011b plat&iacute;, \u017ee pot&iacute;\u017ee s vyrovn&aacute;v&aacute;n&iacute;m tlaku jsou jasn&yacute;m varovn&yacute;m sign&aacute;lem, p\u0159i\u010dem\u017e n&aacute;siln&eacute; vyrovn&aacute;v&aacute;n&iacute; tlaku nen&iacute; bezpe\u010dn&yacute;m \u0159e&scaron;en&iacute;m. &nbsp;<\/p>\n<p style=\"\">Co se t&yacute;\u010de v&yacute;roku pan&iacute; Bolzan, kter&aacute; se nyn&iacute; naz&yacute;v&aacute; &bdquo;sp&iacute;&scaron;e b&yacute;valou pot&aacute;p\u011b\u010dkou&ldquo;, dovoluji si tvrdit, \u017ee nemus&iacute; b&yacute;t tak pesimistick&aacute;. Jej&iacute; l&eacute;\u010dba prob\u011bhla &uacute;sp\u011b&scaron;n\u011b a pacientka se zotavila prakticky bez n&aacute;sledk\u016f. Doporu\u010dil bych ji, aby se za pomoci odborn&iacute;k\u016f na pot&aacute;p\u011b\u010dskou medic&iacute;nu pokusila zjistit p\u0159&iacute;\u010dinu sv&yacute;ch probl&eacute;m\u016f s vyrovn&aacute;v&aacute;n&iacute;m tlaku.&nbsp;<\/p>\n<p style=\"\">Jak&eacute; z toho plyne pou\u010den&iacute;? N&aacute;siln&eacute; vyrovn&aacute;v&aacute;n&iacute; tlaku p\u0159i prvn&iacute;m ponoru a dal&scaron;&iacute; pot&aacute;p\u011bn&iacute; navzdory p\u0159&iacute;znak\u016fm &bdquo;podivn&eacute;ho&ldquo; pocitu v uchu p\u0159i \u010d&aacute;ste\u010dn\u011b zhor&scaron;en&eacute;m sly&scaron;en&iacute; je prost\u011b chybou.<\/p>\n<p>Bude-li si protagonistka tohoto p\u0159&iacute;padu v\u011bdoma shora uveden&eacute;ho pou\u010den&iacute;, nemus&iacute; se pova\u017eovat za pot&aacute;p\u011b\u010dku pouze b&yacute;valou.<\/p>\n<p style=\"\"><em>Dr. Alessandro Marroni<br \/>Prezident a hlavn&iacute; zdravotn&iacute;k DAN Europe<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>31. srpna Kone\u010dn\u011b nastal \u010das odjezdu! \u010cekaj&iacute; mne dva dny pot&aacute;p\u011bn&iacute; se st\u0159ediskem Diving Indie v chorvatsk&eacute; Premantu\u0159e. Na&scaron;e skupina se skl&aacute;d&aacute; ze t\u0159&iacute; pot&aacute;p\u011b\u010d\u016f&#8230;<\/p>\n","protected":false},"author":1,"featured_media":11374823,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[384],"tags":[1951],"authors":[],"class_list":["post-11385597","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clanky","tag-podrobnosti-k-prihodam"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Z\u00e1znam p\u0159\u00edpadu barotraumatu vnit\u0159n\u00edho ucha - Alert Diver<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/alertdiver.eu\/cs_CZ\/clanky\/zaznam-pripadu-barotraumatu-vnitrniho-ucha\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Z\u00e1znam p\u0159\u00edpadu barotraumatu vnit\u0159n\u00edho ucha - Alert Diver\" \/>\n<meta property=\"og:description\" content=\"31. srpna Kone\u010dn\u011b nastal \u010das odjezdu! \u010cekaj&iacute; mne dva dny pot&aacute;p\u011bn&iacute; se st\u0159ediskem Diving Indie v chorvatsk&eacute; Premantu\u0159e. 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